ACMT Toxicology Visual Pearls: Blue Urine
A bedside urine test for a pesticide is positive as shown in the photo. What pesticide is being detected?
- Chlorpyrifos
- Diquat
- Glyphosate
- Paraquat
ACMT Toxicology Visual Pearls: Toxic Mouth Pain
A middle-aged Asian female presents to the emergency department complaining of 2-3 days of mouth pain. She has chewed betel nut for a number of years. Which of the following is true regarding her presentation and management?
- Debridement should be avoided.
- Metronidazole is contraindicated due to the potential of a disulfiram-like reaction.
- Oral secretagogues should be used due to the anticholinergic effects.
- The patient is at increased risk of oral cancer.
ACMT Toxicology Visual Pearls: Snake Bite
Envenomation by the pictured snake would be expected to produce which clinical effects?
- Bradycardia and hypotension
- Bruising and epistaxis
- Difficulty swallowing and muscle weakness
- Severe swelling and blistering
ACMT Toxicology Visual Pearls: Spider Bite
A patient presents to the ED for management of a spider bite. Which of the following statements is correct regarding a bite from the spider pictured?
- Laboratory studies can be helpful in management and predicting outcome.
- Antibiotics are recommended.
- The venom is cytotoxic and can cause red blood cell hemolysis.
- The venom is more potent on a volume-per-volume basis than the venom of a pit viper.
ACMT Toxicology Visual Pearls: Drug-Induced Rash
Two patients with substance-use disorder present to an ED in the United States with a new rash. Which of the following is the most likely exposure?
- Krokodil (desomorphine)
- Levamisole-adulterated cocaine
- Methamphetamine-induced allergic reaction
- Wound botulism secondary to heroin use
ACMT Toxicology Visual Pearls: Toxic “Weed”
A patient presents to the ED after eating seeds from a plant to “get high.” What toxidrome is expected after ingesting these seeds?
- Antimuscarinic
- Cholinergic
- Nicotinic
- Opioid
- Sympathomimetic
ACMT Toxicology Visual Pearls: Drug-Induced QT Prolongation
Which over-the-counter medication can be associated with these EKG findings in overdose?
- Aspirin
- Guaifenesin
- Loperamide
- Pseudoephedrine
- Senna